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MR. JAMES SAMUEL POLEK
NPI 1720519754
Internal Medicine in Mattoon, IL

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
200 RICHMOND AVE E STE 4, MATTOON, IL 61938(217) 234-7000(217) 238-5348 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2023, Nov 1, 2021, Jul 7, 2021 and 2 more (5 updates tracked since 2017).

About Mr. James Samuel Polek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMES SAMUEL POLEK (NPI 1720519754) is an individual internal medicine provider in Mattoon, Illinois, licensed in Illinois (036156024) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2017).

NPPES Registry Identity

NPI1720519754
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JAMES SAMUEL POLEK
Location Address200 RICHMOND AVE E STE 4Mattoon, IL 61938-4652
Mailing Address1005 Health Center Dr Ste 201Mattoon, IL 61938-4653 · (217) 342-3400 · Fax (217) 258-2216
Phone(217) 234-7000
Fax(217) 238-5348
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2017
Enumeration DateMarch 22, 2017
Last NPPES UpdateFebruary 8, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1720519754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036156024✔ Licensed in KY · R4572
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 RICHMOND AVE E STE 4, Mattoon, IL 61938
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. James Samuel Polek is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709138266
PECOS Enrollment IDI20210722003548
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Polek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sarah Bush Lincoln Health Center
4.3 mi
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
187 services83 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services38 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$92.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL T LAPE MD
Pediatrics
200 RICHMOND AVE E STE 4
MATTOON, IL 61938
Coles County (217) 238-5345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Polek's NPI number?

The NPI number for James Polek is 1720519754. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is James Polek located?

James Polek practices at 200 Richmond Ave E Ste 4, Mattoon, IL 61938. The listed phone number is (217) 234-7000.

What is James Polek's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Polek enrolled in Medicare?

Yes. James Polek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Polek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Polek reassigns Medicare benefits to Sarah Bush Lincoln Health Center (Mattoon, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Polek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Polek accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list James Polek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Polek affiliated with any hospitals?

According to CMS data, James Polek is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for James Polek was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.